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Saied Ghari, Einollah Molaie, Dr Mohammad Mojerloo, Naser Behnampour, Alireza Shariati, Mohammad Jafar Aghakhani, Maryam Khari, Robabeh Salehi,
Volume 9, Issue 2 (1-2013)
Abstract

  Background and objective : Low blood pressure and Muscle cramps are common complications of Hemodialysis. One approach that has recently been proposed to prevent this complication is the combination of sodium and ultrafiltration. The purpose of this study was to investigate the effect of of sodium and ultrafiltration profile on some of the common complications during Hemodialysis.

  Material and Methods: In this crossover clinical trial study, 22 Hemodialysis patients referred to Panje-­Azar Hospital in 2012 were divided randomly into two groups. For each group, two treatment protocols were conducted, six hemodialysis sessions. The intervention protocol was a linear sodium dialysate and linear ultrafiltration. In routine Protocol, both sodium dialysate and ultrafiltration were considered constant. Using chi-square test and relative risk, the data was analyzed (P<0.05).

  Results: The mean age is 54.73 ± 11.21 year and 59.1% of them are females. The incidence of hypotension and muscle cramps in the experimental protocol procedure is significantly decreased compared with that of control group (P<0.05), but the incidence of headache and vomiting is not significant (P<0.05).

  Conclusion: Because sodium and ultrafiltration profile is simple and cost-free and reduces the incidence of complications during dialysis, we recommend using sodium and UF profile instead of routine one.


Hamzeh Salehzadeh, Razieh Iloun Kashkoolir , Seyyed Saied Najafi, Dr Mohammad Kazem Hosseini Asl, Dr Azadeh Hamedi, Ahmad Kalateh Sadati,
Volume 10, Issue 0 (9-2013)
Abstract

  Background and Objective: Hypertension in patients with non-alcoholic fatty liver disease is the main cause of cardiovascular disease . The present study aimed to determine the effect of Berberis vulgaris fruit extract on blood pressure and weight in patients with non-alcoholic fatty liver disease.

  

  Material and Methods: This clinical trial was conducted in 2011 on 80 patients with non-alcoholic fatty liver disorder, including 32 males (40%) and 48 females (60%), who were randomly assigned into case and control group. The case group were given two capsules (750 mg) including berberis vulgaris extract every day for three months, while the subjects of control group treated by placebo. Blood pressure and weight of baseline and those of after three month were assessed and analyzed by SPSS software Ver.17, using paired t-test and independent t-test (p≤0.05).

  

  Results: the mean of weight decreased from 80.23±11.68 (baseline) to 78.71±11.31 (End of the third month), which was statistically significant compared to control group (P<0.001). The Mean of systolic and diastolic blood pressure was significant compared to control group. (p<0.05).

  

  Conclusion: Considering the significant decrease in weight and blood pressure, further studies with larger sample size are needed to generalize crucially the results. This extract can be introduced to treat overweight and hypertension in patients with non-alcoholic fatty liver disease.

 


Einollah Mollaie, Saied Ghari, Dr Mohammad Mojerloo, Naser Behnampour, Alireza Shariati, Mohammad Jafar Aghakhani, Seyyed Yaghoob Jafari, Maryam Khari, Robabeh Salehi,
Volume 10, Issue 2 (10-2013)
Abstract

Background and objective: Hypotension and Muscle cramp are the common complications of Hemodialysis. One approach that has recently been proposed to prevent this complication is the change in the concentration of sodium and ultrafiltration. The purpose of this study was to investigate the influence of sodium dialysate variation and ultrafiltration in preventing hypotension and muscle cramp during hemodialysis process.
Material and Methods: In this clinical trial study, 44 Hemodialysis patients were divided randomly into four groups. For each group, four treatment protocols (six-session Hemodialysis) were conducted. Protocol A: Sodium dialysate and ultrafiltration were constant. Protocol II: sodium was linear and ultrafiltration was constant. Protocol III: Sodium and ultrafiltration were linear. Protocol IV (routine): Sodium and ultrafiltration were constant. Using Chi-Square and relative risk, the data was analyzed (P<0.05).
Results: The incidence of hypotension, at the end of the fourth hour of dialysis in Protocol 3, was significantly decreased compared to that of routine method (P<0.05), while at the end of first, second and third hour, this difference was not significant. Muscle cramp in the routine method was more than other protocols (P=0.034). The relative risk of muscle cramp in the routine method was 2.08 times of protocol I, 1.09 of Protocol II, 2.08 of protocol III.
Conclusion: Sodium and ultrafiltration profile is simple and cost-free, and it reduces the incidence of hypotension and muscle cramp during dialysis. Thus, we recommend using sodium and UF profile instead of routine protocol to reduce these effects.


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